South Atlantic Medical Group IPA
South Atlantic Medical Group IPA is an Exclusive Provider Organization in Los Angeles, California. Licensed in California. Registered with an NPI since 2008.
- Licensed in
- CA
- In the registry since
- 2008
Practice location Address checks out
5504 Whittier BlvdLos Angeles, CA 90022-4104
Phone: (323) 725-0167
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Exclusive Provider Organization (primary) | Taxonomy 302F00000X · Licence A410610 (CA) |
|---|
Record details
| NPI number | 1114193182 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Nissan Kahen — Medical Director · (323) 725-0167 |
| NPI enumerated | April 30, 2008 |
| Last updated in NPPES | April 30, 2008 |
| Mailing address | 5504 Whittier Blvd, Los Angeles, CA 90022-4104 |
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